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Breast Cancer rate on the rise!!!

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Worldwide report indicates that Breast cancer is one of the diseases that is causing alarming mortalities with an estimate of over 2.3 million cases recorded globally in the year 2020 (WHO).

Research has shown that Breast Cancer is the most common cancer among women. Although men also get affected with the disease – it’s estimated that one per cent of cases recorded worldwide (WHO) were reported by males.

It has also been estimated that over 685,000 women died from Breast Cancer in the year 2020 (WHO). Additional statistical report has revealed that, at the end of the year 2020, there were 7.8 million women alive who were diagnosed with breast cancer five years ago.

While breast cancer rates are higher among women in more developed countries, they have lower mortality rates due to the fact that Breast Cancer cases are detected in the early stages and immediately holistic treatment is given with effective continuity of care even to the involvement of a psychologist (good support system) which is very much key.

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However, in low and middle-income countries like Ghana, breast cancer mortality rates are significantly higher though the prevalence is lower as compared to the developed countries.

The reason for the soaring mortalities of breast cancer in sub-Saharan Africa specifically Ghana, is partly associated with people’s erroneous beliefs of the disease. Other significant factors such as cost of treatment, accessibility to screening machines, irregular education and publicity of the disease are issues which need to be addressed immediately.

Unfortunately, about 60-70 per cent patients seek for medical attention at the very late stage of the disease where little or nothing can be done for them. Sadly, this is one of the factors that is causing defeat in our quest to reduce deaths amongst breast cancer patients.

Narrowing the discourse to our immediate environment Ghana specifically, Korle-Bu Teaching Hospital, our main referral centre has the following statistics on Breast Cancer cases.

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In the year 2018, 400 new cases were recorded. Out of that, 2.4 per cent were found to be males while the remaining 97.6 per cent were females. Also, out of 2,260 cumulative cases studied over five years, 1,021 people died from the disease.

Isn’t it sad that, just within five years, more than 1,000 souls perished because they probably failed to seek for medical attention at the early stage of their sickness?

Or possibly, they were not self-aware of what was happening to them?

Hitherto, the age group that was mostly affected was between 40 and 49 years.

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Surprisingly the age bracket keeps reducing gradually with incidences occurring between 25 and 29 years due to adaptation of the western and sedentary lifestyle.

Breast Cancer as we all know has no known cause but there are risk factors that can precipitate it.

Sex: The fact that one is a female automatically puts you at risk of Breast Cancer because women have more breast tissue than men do, hence the increased risk of getting breast cancer.

Age: Usually women above 45 years are prone to Breast Cancer but now the age bracket is reducing. Now, there are records of Breast Cancer patients between the ages of 25 and 29 as a result of westernisation in terms of diet and sedentary lifestyle

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Exposure to Estrogen Hormone: Early menarche (first occurrence of menstruation) latemenopause, nulliparity (when a woman has never given birth to a child, or has never carried a pregnancy) and giving birth after age 30.

All of the above situations cause increased exposure to estrogen hormone which can cause Breast Cancer.

Family History: When one’s aunt, mother, sister, grandmother has had Breast Cancer, it puts one at a risk of getting the disease. However, recent medical investigations posit that, it is when a first-degree family member gets the disease, that can put one at a risk.

Interestingly, it has also been discovered that when any primary male relative, has been diagnosed with even prostate cancer, it can put you at risk of getting Breast Cancer.

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Hence, the need to be keen with regular screening, visiting women wellness clinics, and the need to conduct personalise routine breast examination, etc.

Also, increased fatty diet, obesity, alcohol, smoking, lack of exercise; these are but some of the known risk factors that can precipitate Breast Cancer.

Nonetheless, there are many ways to reduce the incidence of an individual getting breast cancer.

Keep your weight in check, by being physically active and undertaking regular exercises.

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It’s also important to incorporate fruits and vegetables in your diet.

At risk persons should avoid the following: Alcohol (Zero is Best), forsake smoking, avoid birth control pills, particularly after age 35 or if you smoke. Almost every woman is at risk of getting Breast Cancer hence the need to adopt the best lifestyle as a preventative measure.

Breast feeding is also another sure way to reduce the risk of getting breast cancer as a woman. Hence women are encouraged to breastfeed their infants, especially working-class mothers. There is this notion that breast feeding is old fashioned. Sadly, some women now resort to formula feeding for their infants which they think is fashionable and trendy.

Now, let’s consider Breast Cancer myths. Myths are misbeliefs or false ideas, so breast cancer myths are false beliefs that people have concerning breast cancer. In our Ghanaian society, people have the mindset that breast cancer is a “cursed” disease. The unfortunate belief is that, a person may have offended the gods, hence the repercussion of their actions.

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Again, there is a belief of witches “buying” the sickness in the spiritual realm to infect innocent people. Due to this notion, most people seek spiritual help than going for medical treatment.

Hence, 70 per cent of cases recorded at Korle-Bu report at very late stages due to social stigma of this disease leaving little or nothing to be done for the patient except palliative care.

Other myths concerning breast cancer are wearing a brassiere can cause Breast Cancer. The usage of underarm antiperspirant, carrying your cell phone in your brassiere and many others are sheerly make beliefs that are clearly untrue.

In light of these misconception and superstitious beliefs, Breast Cancer awareness creation remains one of the effective ways to educate and screen people against possible Breasts Cancer.

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October is the month set aside worldwide for breast cancer awareness celebration termed Pink October. This pink month celebration is catching on well with Ghanaians. The good news is that, many organisations have sprung up the quest to fight this vile disease called Breast Cancer.

One of such is the Ladybits Health and Wellness Foundation which is determined to help build the “Quintessential Woman‚ in our contemporary Ghanaian society. The organisation reaches out to all women found in various endeavours especially the rural and less deprived areas where we educate them on breast cancer with effective screening and diagnosis of the disease.

Our aim is to empower women especially in deprived areas to be in charge of their health and take precautionary measures where necessary. In the end, I reiterate that Breast Cancer is very treatable especially when detected early.

Some aspects of the treatment of Breast Cancer is covered by NHIS. In addition, members of GNAT have access to free medical treatment of all cancer diseases including breast cancer.

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Nevertheless, I look forward to a time where the government and for that matter NHIS will absorb the full treatment cost of Breast Cancer so that the screenings that we do in the rural areas will be more impactful and effective

By Dr. Victoria Partey-Newman

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Female bodies for sale

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A man and a woman walking together

It is still the contention of my uncle, Kofi Jogolo, that the moment God created woman, He created a big problem for man. If not, why would man always have to trim his moustache in such a way as to please woman and not himself? And why would a man’s holy organ keep nodding like an agama lizard just because there is a creation called woman?

Sikaman Palava
Sikaman Palava

Sir Kofi Jogolo whose moustache deserves both a national award and mention in the Guinness Book of Records for its stylish variations, told me recently that when you marry, you have palaver; if you don’t marry, you have wahala. All because of woman. I think the bloke is a reincarnation of Paul. Only he looks like Peter.

For those who do not marry, they may be free of marital problems, but might be in sexual bondage, because at dawn, a certain part of the body might nod in distress. It is a wonderful part of the human body that smiles with joy when a woman is lying within arm’s length.

The unmarried may not have to wait until dawn, though. After all, who says you can satisfy a sexual need only at dawn? If there is no girlfriend, there is still a way out. FEMALE BODIES FOR SALE! You only have to ask, “How much?” Sometimes it is worth the price of only two balls of kenkey.

It is for this reason that some people do not discourage women from practising prostitution because they claim the women play a vital role in national development. According to them, first, the nation cannot develop when the citizens are sex-starved. Second, they claim prostitution keeps down figures of rape cases since it is due to the scarcity of female bodies that the incidence of rape is rising.

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Well, some people really adore prostitutes. With them you don’t have to worry about pregnancy. Moreover, you can skip foreplay which many people don’t have the patience for because of their high sexual temperature, or because they consider it a waste of time. And when you pay well, you can enjoy the style you want.

In actual fact, some married men also go in for prostitutes once in a while. They claim that prostitutes do not complain in bed like their wives. When you ask them to raise a leg, they comply without argument.

They also say prostitutes who are experienced can really work on certain parts of your body enough to make you blaspheme. Holy Jesus! The difference is clear then that with prostitutes you pay for the service but with wives it is for free, meaning that the quality of service must differ accordingly.

Many men also say they prefer prostitutes to girlfriends because of “back-pocket palaver”. It is their contention that with girlfriends you have to specialise in telling lies about your credit worthiness especially when you’re not only a human being but also a church mouse.

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Sometimes you have to buy beer and gin because some girlfriends would not like to have sex unless they are properly soaked in booze. You also have to sing them lullabies and recite poetry to turn them on. Ask Devine Ankamah. That’s not all. When all is finished, you have to dish transport money, and if you’re not lucky she’d ask you to settle a “carry forward” you had planned to dodge.

So for just two probably lousy rounds of enjoyment, you’d spend some ¢15,000 if hotel services are included, unless you choose a hotel room where cockroaches and rats don’t practise family planning.

There are those who believe that with prostitutes, you don’t have to tell lies. It is purely business. No credit, no debit. Money na hand back na ground. When you are through and refuse to pay, she’ll cause a scene, scratch your face red and drag your butt onto the street. Next time you don’t have money, you stick to your wife or girlfriend or to your sorrows.

Prostitution in Sikaman is widespread. News reaching Palava have it that in the Obuasi area, it is the major occupation of females. They are in lucrative business. They come from all over the country -Bolga, Tamale, Kumasi, Sunyani, Accra, Odumase, wherever. A few are said to have come from Lagos in full gear.

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When they all come, they sometimes don’t do so with only their bodies and luggage. They also carry with them something small in the form of a disease called AIDS which they distribute free of charge.

So why Obuasi? Gold! The great successes of Ashanti Goldfields combined with the notoriety and boom of galamsey activities have acted as a magnet, drawing in those who peddle their bodies for cash. No cheques!

Sometime back, it was reported that AIDS cases in the Obuasi area had soared. The reason, prostitution. Obuasi prostitutes are, however, of class. They dress to kill. Some speak even more languages, so if you’re a client and you speak even in tongues, they understand. And they drink beer exactly like Germans.

So what really are we doing about these prostitutes who, some say are contributing to national development and others say are enhancing national obituary?

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Sikaman Palava has said it once that the law enforcement agencies have tried time and again to rid them off the streets. They have always failed in doing so. The problem is that they are as slippery as the cockroach. When harassed, they disappear and practise all the same. If caught, they are fined and the next day they are firmly at post.

Some people say because we can’t get rid of them, we must neither encourage nor discourage them. We must find a way of organising them into co-operatives under the name of “SPECIAL HUMAN SERVICES.”

They’d undergo medical screening and those with AIDS banned from practising. The rest would undergo a course in the cause, prevention and cure of sexually-transmitted diseases, personal hygiene, condom use and the healthful ways of practising prostitution.

Then they can be let loose to practise under laid-down rules and regulations and their income taxed.

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That way, the prostitutes would be more beneficial to society and would not be the problem we see them to be.

 This article was first published on Saturday June 29, 1996

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The right mindset is everything

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This year June and part of July, is an enjoyable season for football lovers due to the World Cup which is held every four years.  The World Cup is such a huge event and also very prestigious so it is highly competitive. 

Countries registered with the Federation of International Football Association, (FIFA) become automatic members.  FIFA organises tournaments on the five continents of the world, to enable countries to be selected to play in the World Cup competition. 

Governments support their national teams to ensure qualification to the World Cup due to the prestigious nature of the tournament.  Certain countries even go to the extent of renting a place of their choice, instead of the accommodation provided by FIFA, to ensure that they win the ultimate crown, as Germany did in the 2014 tournament in Brazil. 

Mental strength a requisite for emerging victorious in football matches at such high professional level and everything must be done to endure that players are focused on the matches ahead of them.

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There is however, a peculiar situation in this year’s World Cup, where it is being hosted by three countries namely the United States of America, Mexico and Canada and where one of the host countries, is at war with one of the competing countries. 

The United States of America, is waging a war against Iran.  The US has prevented Iran from staying in the US where they were originally scheduled by FIFA to play their matches.  The US using its power as the host country, has refused to let Iran to stay and FIFA has provided a place in Mexico for the Iranian team to stay.  They have to spend about five hours to fly to the US and prepare to get ready for their matches, each match day. 

They are also forced to leave the US as soon as they finish playing their matches, without resting.  Despite this inhumane treatment being forced on them by the USA, the Iranian team is mentally strong and have managed to draw their two matches played.  

This is a clear manifestation of mental toughness, resulting from having the right mindset.

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Life has a way of often dealing bad cards to a lot of people but it is important that when it happens like that, you look at what you can do with what you have, to still achieve the goals you have set for yourself.

 There is a saying that when life throws you a lemon you make lemonade out of it.  The barriers confronting you might be great, but it is the attitude you display that makes the difference. 

The Iranians have really shown that the right mindset is indeed everything you need to be successful.  They looked at their situation and assessed what was not going in their favour and found appropriate steps to address it. 

Given the teams Iran was to play, the challenge was indeed huge, given the circumstances they found themselves in, but the right mindset to never give up, did the trick for them.

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As human beings, we are always confronted with challenges, right from the day we start to crawl, the day we take our first steps and as we continue to grow into adulthood.  Challenges are part of our daily lives and we must therefore condition our minds, that we shall encounter them and so must constantly be innovative in overcoming them, when we encounter them. 

We need as a country, to develop a critical thinking skill capabilities in our youth, as an investment in the future fortunes of this country.  Developing the right mindset, will enable us overcome every challenge.  God bless.

By Laud Kissi-Mensah

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